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BITZER Compressor Warranty Replacement

BITZER Compressor Warranty Replacementaf82390c_admin2026-09-04T19:11:34-04:00

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GENERAL INFO

Company Name *

Name of Contact *

Phone *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Rreplacement Item # *

Replacement Serial # *

Replacement PO# or Invoice #

JOBSITE INFO

Name of Jobsite *

Store Number of Failure *

Rack Circuit Position Number *

Number of Jobsite Failures

Address

Address Line 1

Address Line 2

City

State

Zip Code

FIELD DATA INFO

Start Up Date

Failure Date

Refrigerant Type

Voltage

SST / SDT

Run Hours

OEM / System Manufacture

Contractor / Dealer / Service Company

Store INFO Failure

FAILURE INFORMATION

Failure

Locked Rotor Amps
Motor Open Winding
Circuit Flooded W /H20
Refrigerant Leak
Trip on Motor Protection
Locked Shaft
Motor Grounded
Noise
Reverse Rotation
Trip on High Disch Temp
Oil Leak
Clutched Seized
Other / Don't Know

Additional Failure Notes / Explanation

SUPPORTING DOCUMENTS / PHOTOS

File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Signature

Clear Signature

Date *

RMA#

DO NOT SEND COMPRESSOR UNTIL RECIEVING RMA NUMBER AND INSTRUCTIONS

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